Role Of Suvarna prashana In Recurrent Upper Respiratory Tract Infection. --- A Survey Study.

 

Author – Dr. AHIR JYOTSNA JAYAVANT.

M.D Kaumarbhritya.(P.G.Scholar)

Guide & H.O.D.:

Prof.Dr. P.K.Dash.

MD, Ph.D Kaumarbhritya

Institution: Y.A. College. Kodoli,

Tal –Panhala Dist- Kolhapur, State – Maharashtra

Title - Role Of Suvarna prashana In Recurrent Upper

Respiratory Tract Infection. --- A Survey Study.

INTRODUCTION

Pranavaha strotas disorders comprises of both URTI & LRTI .Among them URTI is very common due to various etiological factors which are encountered in day to day practice . Suvarna prashana has been said to be very effective in promoting Vyadhi kshamatva by acharya Kashyapa in Ayurveda . By going with this idea, we had started Suvarna prashana ,at Y.A.College Kodoli, 2 yrs ago. We made a survey of children who have recurrent URTI coming to our Suvarna prashana camp on Pushya Nakshatra.

AIM & OBJECTIVE:

1) To evaluate the efficacy of Suvarna prashana in preventing recurrent episodes of upper respiratory tract infections in children with the help of history taking.

2) To evaluate untoward effect of Suvarna prashana by taking history from parents.

CONCEPTUAL STUDY

LITERARY REVIEW –

Suvarna Prashana was described by acharya Kashyapa in kashyapa samhita sutrasthana ,‘Lehanadhyaya’ . According to him-

maQausaip-ByaaM laohyaot knakM iSaSauma\ I

sauvaNa-p`aSanaM *yaotnmaoQaaignabalavaQa-nama\ II

ka.saM.saU.laohnaaQyaaya.

When Honey, Goghritha & Suvarna bhasma mixture is given to children, then their Immunity power, Agni & medha increases.In this regard modern science describes the properties of gold as-Gold is best metal for human body. Gold is the best medicine to improve immunity power in our body.

1) DRUG REVIEW _

The drug used for Suvarna Prashana was prepared in 3 steps .

1) Preparation of Suvarna Bhasma.

2) Preparation of Bramhi Ghruta.

3) Preparation of Shuddha Madhu

All the drugs used for preparation Suvarnaprash bindu are showing properties such as Balya, Rasayana, Medhya, Grahanashana ,Swarakarini, Kasaghna ,Jwarahari etc.

2) CLINICAL STUDY:

A)MATERIAL AND METHODS:

a)Material:

1)Patients

INCLUSION CRITERIA

· Children having recurrent episodes of upper respiratory tract infections (defined as >4 episodes of upper respiratory tract infections during the period 3 months prior to enrollment in the study)

EXCLUSION CRITERIA

· Children with immune -compressive disorder like HIV

· Children having > 4 episodes of lower respiratory tract and infections, requiring hospitalization in the past 6 months

· children receiving corticosteroids .

b) Methods :

A survey study of 100 children (1 month to 12 yrs) having recurrent episodes of URTI infections were grouped as A and B. children from group A received Suvarna prashana for 4 months and children from group B did not received Suvarna prashan.

During this period if any URTI episode occured in childrens from both groups, an appropriate treatment was given.

This camp was held at the OPD of Kaumarbhritya Dept. of Y.A.C.Hospital, Kodoli. The total no. of episodes of recurrent infections, overall well being and adverse events were assessed at every month.

1)Standardization of Raw Material & Drug

‘Suvarna Prashbindu’ had been prepared in R.S.B.K. Department of Y.A.C. Kodoli & The drug was standardized before and after preparation in the V.D.P.C. of pharmacy, Kodoli.

2)Clinical study The procedure was done as follows for 100 patients of ‘Recurrent Upper Respiratory Tract Infection’.

 

Group	No. Of Pt.	Drugs	Route of administration	Dose	Duration	Advice
Group A	50	Suvarna Prashbindu	Oral	5 Drops of Suvarna Prashbindu up to age 5 years & above 5 years , 5 drops + 1 drop for each additional year, above 5 years of age.	For single day on every Pushya Nakshatra	Normal diet,proper hygienic condition & exercise of pranavaha strotasa
Group B	50	Not received Suvarna prashana				As above

 

CRITERIA OF ASSESSMENT

Criteria Of Assessment is totally based on individual history of the child.

1) Total 100 children were assessed with following signs and symptoms for diagnosis of URTI -

a) Dry cough b) Fever c) Sore throat d) Running nose

e) No Wheeze or any added sound

2) Group A was assessed for no. of recurrent episodes of URTI before & after starting of suvarna prashana for 4 months.

3) Group B was assessed for no. recurrent episodes of URTI for same duration but without giving Suvarna prashan.

Data of individual 100 patients of URTI was collected from Suvarnprash & from daily OPD register ,case records of college hospital & also by history taking.

ASSESSMENT OF RESULTS

Following criteria was applied for assessment of total effect of therapy in both A & B groups.

1) Improved –Children having no or only one episodes of URTI in 3 consecutive months.

2) Unchanged- Children who were not fulfilling above criteria.

RESULTS : The obtained data was tabulated as follows.

a) FOR GROUP A – The results was

 

Months	Total patients Of URTI	Improved	Unchanged
I	17	4	13
II	22	5	17
III	7	1	6
IV	4	0	4

Episodes of URTI was reduced in 20% children within 4 months.

b) FOR GROUP B – The results was

 

Months	Total patients Of URTI	Improved	Unchanged
I	16	2	14
II	13	1	12
III	7	0	7
IV	14	1	13

Episodes of URTI was reduced in 8 % children within 4 months.

Statistical analysis

By considering the above data we applied CHI square test to draw a inference .The Obtained CHI square values are as

Calculated CHI square value	Table CHI square value	Inference
2.96	3.84	No significant Result.

DISCUSSION –

According to Rutu there might be variations in episodes of URTI & also Rasayana chikitsa (suvarna prashana) require long period for showing it’s best results .So by taking these two points into consideration we made a conclusion.

CONCLUSION:

Suvarna prashana is not effective within short period in recurrent URTI . So here is need of prolonged study at least for one year, which includes all ‘Shadarutues’ and also the study must be conducted in more number of children